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Aspire Scholarship - Maine Community Foundation

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<strong>Aspire</strong> <strong>Scholarship</strong> Fund<br />

It is our desire that each student who receives an <strong>Aspire</strong> <strong>Scholarship</strong> will know that they have the<br />

potential for a bright future and that there are people who believe in them regardless of what their past<br />

looks like. ~ Donors of the <strong>Aspire</strong> <strong>Scholarship</strong> Fund ~<br />

<strong>Aspire</strong> supports students who have resided a substantial part of their formative years (K-12) in Presque<br />

Isle or Washburn and adult learners who have built a life in either town and are returning to school.<br />

Eligible applicants have successfully completed an alternative education program (for example, Presque<br />

Isle Alternative High School or The Carleton Project) or are alternative learners who would have<br />

benefited from such a program had one been available to them. Academic excellence is not a prerequisite,<br />

but demonstrated personal growth, capacity and will to succeed, and pursuit of a post-secondary<br />

education are. Please complete each section of this application completely and thoughtfully.<br />

Name:<br />

Address:<br />

Street address or P.O. number:<br />

All applications must be postmarked by: May 15<br />

Town: State: Zip code:<br />

Phone: Cell: E-mail:<br />

Resident of this Town since:<br />

Alternative School: Dates Attended:<br />

Did you graduate from this school? Yes No<br />

If you did not attend an alternative program, please explain your circumstances on a separate sheet of paper.<br />

High school you graduated from: Date:<br />

GED obtained:<br />

FAFSA Filed on: Estimated Family Income:<br />

If you are a full-time student, you must file a FAFSA to be considered for this award.<br />

Post-secondary program/college for which aid is requested:<br />

Street address or P.O. number:<br />

City: State: Zip code:<br />

Anticipated major: Degree program:<br />

Enrolled: Part-time: ____ Full -time: Matriculating student: ____Yes ______ No<br />

Do you work?<br />

____ Yes (# of hours location ) No<br />

Employment History:<br />

Position held Period of Employment Hours per week<br />

to<br />

to<br />

to


Personal statement: To help the committee better know who you are, please attach an additional sheet that answers<br />

the following two questions.<br />

1) Please tell us why you have decided to attend the program of your choice and what you hope to accomplish<br />

while there.<br />

2) Please share some of your past and current obstacle and discuss your ability to overcome them. How do<br />

you view academic success and discuss how you will achieve it?<br />

Recommendation Letter<br />

Please submit a recommendation letter from a faculty member of your alternative school or high school specifically<br />

addressing your eligibility for the <strong>Aspire</strong> <strong>Scholarship</strong>. The letter must be current (dated after January 1, 2013), on<br />

official letterhead, contain your first and last name, and be signed by the writer, who must identify his/her<br />

relationship to you (not a family member). Email letters are not acceptable.<br />

Required Information: (do not staple, please)<br />

Please submit the information requested below printed on one side only (not front and back).<br />

This completed Application Form<br />

A letter of recommendation as outlined above<br />

Explanation of circumstances if you did not attend an alternative program, if applicable.<br />

Your most recent official transcript (from high school or college)<br />

Copy of your financial aid award letter from the college you will attend.<br />

Your complete Federal Student Aid Report (SAR), which must include your expected family contribution<br />

(EFC) and your family’s adjusted gross income (AG). Do not send the FAFSA.<br />

It is the responsibility of the applicant to ensure that all of the required items are submitted on or before the application<br />

deadline. Incomplete applications or those postmarked after the deadline will not be processed. All information<br />

received from applicants will be held in confidence.<br />

I certify that all information on this form is true and complete to the best of my knowledge.<br />

Signature of Applicant:<br />

All applications and required information sent separately must be postmarked by May 15 and sent to:<br />

<strong>Aspire</strong> <strong>Scholarship</strong> Fund<br />

<strong>Maine</strong> <strong>Community</strong> <strong>Foundation</strong><br />

245 Main St.<br />

Ellsworth, ME 04065-1613<br />

877-700-6800 ~ info@mainecf.org


Family Information<br />

Parents’ current marital status: single married separated divorced widowed<br />

Who is responsible for your support? mother father both other<br />

Who do you live with? mother father both other<br />

Number in household, including parents: Ages of siblings:<br />

Total number of family members attending college during the next academic year:<br />

Name of parent(s) or guardian(s) who claimed you as a dependent on previous year’s federal income tax return:<br />

Family Adjusted Gross Income (AGI) from Federal Income Tax: _____________________<br />

Name of parent(s) or guardian(s) who submitted the FAFSA on your behalf:<br />

Date FAFSA filed: _______________________ EFC: _____________________<br />

If you have not<br />

received your<br />

financial aid<br />

award letter for<br />

next year,<br />

please enter the<br />

amounts from<br />

your current<br />

year of study,<br />

or amounts you<br />

anticipate are<br />

reasonably true<br />

for next year<br />

Funds available for your NEXT year of college<br />

Family Contribution $<br />

Personal Savings/Earnings $<br />

Grants and <strong>Scholarship</strong>s awarded by your college or the government $<br />

Outside scholarships (from organizations, foundations, high school, etc.) $<br />

WorkStudy $<br />

Stafford and /or Perkins Loans $<br />

Other loans for school $<br />

TOTAL available funds for next year (add all) $<br />

Outstanding loans for education to date: No. Total $__________<br />

Cost of Attendance<br />

Please complete the cost of attendance at your first choice college below. This information<br />

is available on the college’s website and from the financial aid office. Please provide<br />

current-year numbers.<br />

Full Year Cost of Attendance for ____________________________ (first choice college)<br />

Tuition and Fees $<br />

Room and Board $<br />

Books and Materials $<br />

Transportation $<br />

Personal and other Expenses $<br />

TOTAL COST OF ATTENDANCE $<br />

Unusual Expenses (i.e. childcare/medical) $<br />

Please explain any special circumstances on a separate sheet.


FINANCIAL INFORMATION RELEASE FORM<br />

* * PLEASE FILL OUT AND MAIL THIS FORM TO YOUR * *<br />

COLLEGE OR PROGRAM FINANCIAL AID OFFICE,<br />

NOT TO MAINE COMMUNITY FOUNDATION<br />

ATTENTION: Financial Aid Officer<br />

The student named below is applying to the <strong>Maine</strong> <strong>Community</strong> <strong>Foundation</strong> for a<br />

scholarship and requires your assistance in providing need-based information. Please keep<br />

this signed statement in the student’s file for reference if you receive an inquiry from our<br />

<strong>Scholarship</strong> Coordinator regarding the student’s financial aid award.<br />

TO THE SCHOLARSHIP APPLICANT:<br />

I authorize release of financial aid award information to:<br />

<strong>Maine</strong> <strong>Community</strong> <strong>Foundation</strong><br />

<strong>Scholarship</strong> Coordinator<br />

245 Main Street<br />

Ellsworth, ME 04605-1613<br />

Tel: 207-667-9735 or toll free 877-700-6800<br />

Fax: 207-667-0447<br />

E-mail: info@mainecf.org Web: www.mainecf.org<br />

College/University __________________________________________<br />

Name of Student: __________________________________________<br />

Address: __________________________________________<br />

__________________________________________<br />

Phone: __________________________________________<br />

Student’s Signature: __________________________________________<br />

Date: __________________________________________<br />

REMINDER: DO NOT mail this form to <strong>Maine</strong> <strong>Community</strong> <strong>Foundation</strong>

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